Dr. Mathis Lee Becker
Cardiothoracic Vascular Surgeon
12901 Bruce B. Downs Blvd., Mdc02
Tampa
, Florida 33612
Dr. Mathis Lee Becker
Cardiothoracic Vascular Surgeon
12901 Bruce B. Downs Blvd., Mdc02
Tampa
, Florida 33612
(813) 839-7905
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About
Features
Specialties
- Cardiothoracic Vascular Surgeon
Languages spoken
- English
Location
First Address
- Dr. Mathis Lee Becker
- 3112 W Fielder St
- Tampa, FL
- Zip : 33611-2910
- Phone : (813) 839-7905
Second Address
- Dr. Mathis Lee Becker
- 12901 Bruce B. Downs Blvd., Mdc02
- Tampa, FL
- Zip : 33612
- Phone : (813) 396-9934
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208G00000X | Cardiothoracic Vascular Surgeon | ME12216 | FL |
National Provider Identifier
| NPI | 1013966324 |
|---|---|
| Provider Name | Dr. Mathis Lee Becker |
| First Address | Tampa, FL 33611-2910 |
| Second Address | Tampa, FL 33612 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/05/2006 |
| Last Update Date | 20/08/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| D60345 | (02) | FL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.